Los Angeles County officials cut back Tuesday on contracts to provide medical care to AIDS and HIV patients, citing increased numbers of people now insured under the federal government’s overhaul of healthcare.

The move to cut $4 million from the contracts, paid for with federal money, marked the latest clash between the county and the nonprofit AIDS Healthcare Foundation, one of the largest providers of medical services to HIV patients in the region.

The foundation and the county have tangled politically and in court over other contracts and issues, including enforcement of requirements for adult film actors to use condoms and a foundation drive to create a breakaway public health department serving the city of Los Angeles.

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